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El Mirage Group Home
Assisted Living Facility in El Mirage, Arizona
NPI 1801099692

El Mirage Group Home is an Assisted Living Facility based in El Mirage, AZ. El Mirage Group Home practices in El Mirage, AZ. The NPI Number for El Mirage Group Home is 1801099692 and holds a License No. ALH-5221 (Arizona).

The current practice location address for El Mirage Group Home is 13045 W Port Royale Ln, El Mirage, AZ and can be reached out via phone at 602-367-6491 and via fax at 623-582-8178.

Location: 13045 W Port Royale Ln, El Mirage, AZ, 85335-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801099692
Provider Name
El Mirage Group Home
Credential
Provider Entity Type
Organization
Address
13045 W Port Royale Ln, El Mirage, AZ, 85335-3428
Phone Number
602-367-6491
Fax Number
623-582-8178
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13045 W Port Royale Ln
City
El Mirage
State
Arizona
Zip
85335-3428
Phone Number
602-367-6491
Fax Number
623-582-8178
person
Provider Business Mailing Address Details
Address
13045 W Port Royale Ln
City
El Mirage
State
Arizona
Zip
85335-3428
Phone Number
602-367-6491
Fax Number
623-582-8178
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
ALH-5221 (Arizona)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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